BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1750645099
Clinic/Center - Multi-Specialty in Greeley, CO
NPI Status: Active since July 02, 2012
Contact Information
5623 W 19TH ST
GREELEY, CO
ZIP 80634
Phone: (970) 353-9011
Fax: (970) 353-0306
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 06D0878115
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-31-2026
About BANNER HEALTH PHYSICIANS COLORADO LLC
This page provides the complete NPI Profile along with additional information for Banner Health Physicians Colorado Llc, a provider established in Greeley, Colorado operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1750645099 assigned on July 2012. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dennis Dahlen (Sr Vp Finance)
- NPI
- 1750645099
- Provider Name
- BANNER HEALTH PHYSICIANS COLORADO LLC
- Entity Type
- Organization
- Location Address
- 5623 W 19TH ST GREELEY, CO 80634
- Location Phone
- (970) 353-9011
- Location Fax
- (970) 353-0306
- Mailing Address
- 1441 N 12TH ST PHOENIX, AZ 85006
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-02-2012
- Last Update Date
- 07-02-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D0878115
- Facility Type
- Physician Office
- Certificate Effective Date
- August 01, 2024
- Certificate Expiration Date
- July 31, 2026
- Laboratory Director
- DR. DAVID C. PUIS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Banner Health Physicians Colorado Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 5 | 0 | 6 | 4 | 5 | 0 | 9 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 12 | 4 | 10 | 0 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 1 + 2 + 4 + 1 + 0 + 0 + 1 + 8 + 24 = 51 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 51 = 9 | 9 |
The NPI number 1750645099 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
JACQUELINE S BEARDEN M.D.
Family Medicine
5623 W 19TH ST
GREELEY, CO
ZIP 80634
JANIS R MCCALL M.D.
Family Medicine
5623 W 19TH ST
GREELEY, CO
ZIP 80634
WESTLAKE FAMILY PHYSICIANS, PC
Clinic/Center
(Primary Care)
5623 W 19TH ST
GREELEY, CO
ZIP 80634
BANNER MEDICAL GROUP GREELEY LLC
Clinic/Center
(Multi-Specialty)
5623 W 19TH ST
GREELEY, CO
ZIP 80634
DAVID CARL PULS D.O.
Family Medicine
5623 W 19TH ST
GREELEY, CO
ZIP 80634
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750645099, enumerated as an "organization" on July 02, 2012.
The provider is located at 5623 W 19TH ST GREELEY, CO 80634 and the phone number is (970) 353-9011.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.